Provider Demographics
NPI:1346055779
Name:JEWISH DENTAL CLINIC INC.
Entity type:Organization
Organization Name:JEWISH DENTAL CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUROFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-840-0422
Mailing Address - Street 1:31400 NORTHWESTERN HWY STE C
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2562
Mailing Address - Country:US
Mailing Address - Phone:248-497-6224
Mailing Address - Fax:248-254-3398
Practice Address - Street 1:31400 NORTHWESTERN HWY STE C
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2562
Practice Address - Country:US
Practice Address - Phone:248-497-6224
Practice Address - Fax:248-254-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental